NPI | 1053377499 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: AZ 23192) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: AZ 23192) |
207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: AZ 23192) | |
Enumeration Date | 2006-04-25 |
Last Update Date | 2023-08-15 |